MRS. JENNY QUYNH EADS (FNP) – Nurse Practitioner, NPI 1437357969
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for MRS. JENNY QUYNH EADS (FNP)
224 HAILI ST STE B
HILO, HI 967202975
Phone:
Type: Mailing
1178 Kinoole St
Hilo, HI 967207206
Phone: (808) 969-1427
Type: Location
1178, Kinoʻole Street, Waiākea, Hilo, Hawaiʻi County, Hawaii, 96720, United States
HILO, HI 967207206
Phone: (808) 969-1427
Type: Location
74-517 HONOKOHAU ST
KAILUA KONA, HI 967402715
Phone: (808) 334-4400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $756.
Total Amount is formed as General ($756) + Research ($0) + Ownership ($0) = $756.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($756).
Total Amount
$756
General + Research + Ownership
Payments
3
Total payment records
General Amount
$756
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $756 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150710002271 | I | Nurse Practitioner | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI | |
| - | HI | |
| - | HI | |
| - | CO | |
| Clinical Psychologist | HI | |
| Clinical Psychologist | HI | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Nurse Practitioner | HI | |
| - | HI |
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